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Frederick Church of Christ Vacation Bible School Registration Form

Please complete the form below to register your child for VBS.
Remember to send a bag lunch with your child each day.
We will contact you if we have any questions regarding your registration.

*ALL FIELDS ARE REQUIRED*
Parent Name: *
Email Address: *
Phone Number: *
Child's Name: *
Birthdate: *
Grade in Fall 2011: *
Male or Female? * Male
Female
Allergies? *
(please list or check "no allergies" box)
No Allergies
Special needs or anything else we should know about your child? *
(please list or check "no special needs" box)
No special needs/no other information to provide
 
 
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